Bill Text: TX SB120 | 2011-2012 | 82nd Legislature | Engrossed
Bill Title: Relating to requiring dental support for a child subject to a child support order.
Spectrum: Bipartisan Bill
Status: (Engrossed - Dead) 2011-05-21 - Committee report sent to Calendars [SB120 Detail]
Download: Texas-2011-SB120-Engrossed.html
By: Uresti | S.B. No. 120 |
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relating to requiring dental support for a child subject to a child | ||
support order. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subsection (e), Section 54.06, Family Code, is | ||
amended to read as follows: | ||
(e) The court shall apply the child support guidelines under | ||
Subchapter C, Chapter 154, in an order requiring the payment of | ||
child support under this section. The court shall also require in | ||
an order to pay child support under this section that health | ||
insurance and dental insurance be provided for the child. | ||
Subchapter D, Chapter 154, applies to an order requiring health | ||
insurance and dental insurance for a child under this section. | ||
SECTION 2. Section 101.006, Family Code, is amended to read | ||
as follows: | ||
Sec. 101.006. CHILD SUPPORT SERVICES. "Child support | ||
services" means administrative or court actions to: | ||
(1) establish paternity; | ||
(2) establish, modify, or enforce child support, [ |
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medical support, or dental support obligations; | ||
(3) locate absent parents; or | ||
(4) cooperate with other states in these actions and | ||
any other action authorized or required under Part D of Title IV of | ||
the federal Social Security Act (42 U.S.C. Section 651 et seq.) or | ||
Chapter 231. | ||
SECTION 3. Chapter 101, Family Code, is amended by adding | ||
Sections 101.0094 and 101.0095 to read as follows: | ||
Sec. 101.0094. DENTAL INSURANCE. "Dental insurance" means | ||
insurance coverage that provides preventive dental care and other | ||
dental services, including usual dentist services, office visits, | ||
examinations, X-rays, and emergency services, that may be provided | ||
through a single-service health maintenance organization or other | ||
private or public organization. | ||
Sec. 101.0095. DENTAL SUPPORT. "Dental support" means | ||
periodic payments or a lump-sum payment made under an order to cover | ||
dental expenses, including dental insurance coverage, incurred for | ||
the benefit of a child. | ||
SECTION 4. Section 101.012, Family Code, is amended to read | ||
as follows: | ||
Sec. 101.012. EMPLOYER. "Employer" means a person, | ||
corporation, partnership, workers' compensation insurance carrier, | ||
governmental entity, the United States, or any other entity that | ||
pays or owes earnings to an individual. The term includes, for the | ||
purposes of enrolling dependents in a group health or dental | ||
insurance plan, a union, trade association, or other similar | ||
organization. | ||
SECTION 5. Subsection (b), Section 101.024, Family Code, is | ||
amended to read as follows: | ||
(b) For purposes of establishing, determining the terms of, | ||
modifying, or enforcing an order, a reference in this title to a | ||
parent includes a person ordered to pay child support under Section | ||
154.001(a-1) or to provide medical support or dental support for a | ||
child. | ||
SECTION 6. Section 101.034, Family Code, is amended to read | ||
as follows: | ||
Sec. 101.034. TITLE IV-D CASE. "Title IV-D case" means an | ||
action in which services are provided by the Title IV-D agency under | ||
Part D, Title IV, of the federal Social Security Act (42 U.S.C. | ||
Section 651 et seq.), relating to the location of an absent parent, | ||
determination of parentage, or establishment, modification, or | ||
enforcement of a child support, [ |
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support obligation. | ||
SECTION 7. Section 153.611, Family Code, is amended to read | ||
as follows: | ||
Sec. 153.611. EXCEPTION FOR CERTAIN TITLE IV-D PROCEEDINGS. | ||
Notwithstanding any other provision of this subchapter, this | ||
subchapter does not apply to a proceeding in a Title IV-D case | ||
relating to the determination of parentage or establishment, | ||
modification, or enforcement of a child support, [ |
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support, or dental support obligation. | ||
SECTION 8. Section 154.008, Family Code, is amended to read | ||
as follows: | ||
Sec. 154.008. PROVISION FOR MEDICAL SUPPORT AND DENTAL | ||
SUPPORT. The court shall order medical support and dental support | ||
for the child as provided by Subchapters B and D. | ||
SECTION 9. Subsection (c), Section 154.015, Family Code, is | ||
amended to read as follows: | ||
(c) For purposes of this section, the court of continuing | ||
jurisdiction shall determine the amount of the unpaid child support | ||
obligation for each child of the deceased obligor. In determining | ||
the amount of the unpaid child support obligation, the court shall | ||
consider all relevant factors, including: | ||
(1) the present value of the total amount of monthly | ||
periodic child support payments that would become due between the | ||
month in which the obligor dies and the month in which the child | ||
turns 18 years of age, based on the amount of the periodic monthly | ||
child support payments under the child support order in effect on | ||
the date of the obligor's death; | ||
(2) the present value of the total amount of health | ||
insurance and dental insurance premiums payable for the benefit of | ||
the child from the month in which the obligor dies until the month | ||
in which the child turns 18 years of age, based on the cost of health | ||
insurance and dental insurance for the child ordered to be paid on | ||
the date of the obligor's death; | ||
(3) in the case of a disabled child under 18 years of | ||
age or an adult disabled child, an amount to be determined by the | ||
court under Section 154.306; | ||
(4) the nature and amount of any benefit to which the | ||
child would be entitled as a result of the obligor's death, | ||
including life insurance proceeds, annuity payments, trust | ||
distributions, social security death benefits, and retirement | ||
survivor benefits; and | ||
(5) any other financial resource available for the | ||
support of the child. | ||
SECTION 10. Subsection (b), Section 154.016, Family Code, | ||
is amended to read as follows: | ||
(b) In determining the nature and extent of the obligation | ||
to provide for the support of the child in the event of the death of | ||
the obligor, the court shall consider all relevant factors, | ||
including: | ||
(1) the present value of the total amount of monthly | ||
periodic child support payments from the date the child support | ||
order is rendered until the month in which the child turns 18 years | ||
of age, based on the amount of the periodic monthly child support | ||
payment under the child support order; | ||
(2) the present value of the total amount of health | ||
insurance and dental insurance premiums payable for the benefit of | ||
the child from the date the child support order is rendered until | ||
the month in which the child turns 18 years of age, based on the cost | ||
of health insurance and dental insurance for the child ordered to be | ||
paid; and | ||
(3) in the case of a disabled child under 18 years of | ||
age or an adult disabled child, an amount to be determined by the | ||
court under Section 154.306. | ||
SECTION 11. Subsections (d) and (e), Section 154.062, | ||
Family Code, are amended to read as follows: | ||
(d) The court shall deduct the following items from | ||
resources to determine the net resources available for child | ||
support: | ||
(1) social security taxes; | ||
(2) federal income tax based on the tax rate for a | ||
single person claiming one personal exemption and the standard | ||
deduction; | ||
(3) state income tax; | ||
(4) union dues; and | ||
(5) expenses for the cost of health insurance, dental | ||
insurance, or cash medical support for the obligor's child ordered | ||
by the court under Sections [ |
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(e) In calculating the amount of the deduction for health | ||
care or dental coverage for a child under Subsection (d)(5), if the | ||
obligor has other minor dependents covered under the same health or | ||
dental insurance plan, the court shall divide the total cost to the | ||
obligor for the insurance by the total number of minor dependents, | ||
including the child, covered under the plan. | ||
SECTION 12. Section 154.064, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.064. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD | ||
PRESUMPTIVELY PROVIDED BY OBLIGOR. The guidelines for support of a | ||
child are based on the assumption that the court will order the | ||
obligor to provide medical support and dental support for the child | ||
in addition to the amount of child support calculated in accordance | ||
with those guidelines. | ||
SECTION 13. The heading to Subchapter D, Chapter 154, | ||
Family Code, is amended to read as follows: | ||
SUBCHAPTER D. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD | ||
SECTION 14. Subchapter D, Chapter 154, Family Code, is | ||
amended by adding Section 154.1815 to read as follows: | ||
Sec. 154.1815. DENTAL SUPPORT ORDER. (a) In this section, | ||
"reasonable cost" means the cost of a dental insurance premium that | ||
does not exceed 1.5 percent of the obligor's annual resources, as | ||
described by Section 154.062(b), if the obligor is responsible | ||
under a dental support order for the cost of dental insurance | ||
coverage for only one child. If the obligor is responsible under a | ||
dental support order for the cost of dental insurance coverage for | ||
more than one child, "reasonable cost" means the total cost of | ||
dental insurance coverage for all children for which the obligor is | ||
responsible under a dental support order that does not exceed 1.5 | ||
percent of the obligor's annual resources, as described by Section | ||
154.062(b). | ||
(b) In a suit affecting the parent-child relationship or in | ||
a proceeding under Chapter 159, the court shall render an order for | ||
the dental support of the child as provided by this section and | ||
Section 154.1825. | ||
(c) Before a hearing on temporary orders, or a final order | ||
if no hearing on temporary orders is held, the court shall require | ||
the parties to the proceedings to disclose in a pleading or other | ||
document whether the child is covered by dental insurance and, if | ||
the child is covered, the identity of the insurer providing the | ||
coverage, the policy number, which parent is responsible for | ||
payment of any insurance premium for the coverage, whether the | ||
coverage is provided through a parent's employment, and the cost of | ||
the premium. If dental insurance is not in effect for the child, | ||
the parties must disclose to the court whether either parent has | ||
access to dental insurance at a reasonable cost to the obligor. | ||
(d) In rendering temporary orders, the court shall, except | ||
for good cause shown, order that any dental insurance coverage in | ||
effect for the child continue in effect pending the rendition of a | ||
final order, except that the court may not require the continuation | ||
of any dental insurance that is not available to the parent at a | ||
reasonable cost to the obligor. If dental insurance coverage is not | ||
in effect for the child or if the insurance in effect is not | ||
available at a reasonable cost to the obligor, the court shall, | ||
except for good cause shown, order dental insurance coverage for | ||
the child as provided by Section 154.1825. | ||
(e) On rendering a final order the court shall: | ||
(1) make specific findings with respect to the manner | ||
in which dental insurance coverage is to be provided for the child, | ||
in accordance with the priorities identified under Section | ||
154.1825; and | ||
(2) except for good cause shown or on agreement of the | ||
parties, require the parent ordered to provide dental insurance | ||
coverage for the child as provided by Section 154.1825 to produce | ||
evidence to the court's satisfaction that the parent has applied | ||
for or secured dental insurance or has otherwise taken necessary | ||
action to provide for dental insurance coverage for the child, as | ||
ordered by the court. | ||
SECTION 15. Subchapter D, Chapter 154, Family Code, is | ||
amended by adding Section 154.1825 to read as follows: | ||
Sec. 154.1825. DENTAL CARE COVERAGE FOR CHILD. (a) In | ||
this section: | ||
(1) "Accessibility" means the extent to which dental | ||
insurance coverage for a child provides for the availability of | ||
dental care within a reasonable traveling distance and time from | ||
the child's primary residence, as determined by the court. | ||
(2) "Reasonable cost" has the meaning assigned by | ||
Section 154.1815(a). | ||
(b) The court shall consider the cost, accessibility, and | ||
quality of dental insurance coverage available to the parties and | ||
shall give priority to dental insurance coverage available through | ||
the employment of one of the parties if the coverage is available at | ||
a reasonable cost to the obligor. | ||
(c) In determining the manner in which dental care coverage | ||
for the child is to be ordered, the court shall render its order in | ||
accordance with the following priorities, unless a party shows good | ||
cause why a particular order is not in the best interest of the | ||
child: | ||
(1) if dental insurance is available for the child | ||
through a parent's employment or membership in a union, trade | ||
association, or other organization at reasonable cost, the court | ||
shall order that parent to include the child in the parent's dental | ||
insurance; or | ||
(2) if dental insurance is not available for the child | ||
under Subdivision (1) but is available to a parent from another | ||
source and at a reasonable cost, the court may order that parent to | ||
provide dental insurance for the child. | ||
(d) If the parent ordered to provide dental insurance under | ||
Subsection (c)(1) or (2) is the obligee, the court shall order the | ||
obligor to pay the obligee, as additional child support, an amount | ||
equal to the actual cost of dental insurance for the child but not | ||
to exceed a reasonable cost to the obligor. In calculating the | ||
actual cost of dental insurance for the child, if the obligee has | ||
other minor dependents covered under the same dental insurance | ||
plan, the court shall divide the total cost to the obligee for the | ||
insurance by the total number of minor dependents, including the | ||
child covered under the plan. | ||
(e) If the court finds that neither parent has access to | ||
private dental insurance at a reasonable cost to the obligor, the | ||
court shall order the parent awarded the exclusive right to | ||
designate the child's primary residence or, to the extent permitted | ||
by law, the other parent to apply immediately on behalf of the child | ||
for participation in any government medical assistance program or | ||
health plan that provides dental coverage. | ||
SECTION 16. Section 154.183, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.183. MEDICAL AND DENTAL SUPPORT ADDITIONAL SUPPORT | ||
DUTY OF OBLIGOR. (a) An amount that an obligor is ordered to pay | ||
as medical support or dental support for the child under this | ||
chapter, including the costs of health insurance coverage or cash | ||
medical support under Section 154.182 and the costs of dental | ||
insurance under Section 154.1825: | ||
(1) is in addition to the amount that the obligor is | ||
required to pay for child support under the guidelines for child | ||
support; | ||
(2) is a child support obligation; and | ||
(3) may be enforced by any means available for the | ||
enforcement of child support, including withholding from earnings | ||
under Chapter 158. | ||
(b) If the court finds and states in the child support order | ||
that the obligee will maintain health insurance coverage, dental | ||
insurance coverage, or both, for the child at the obligee's | ||
expense, the court shall increase the amount of child support to be | ||
paid by the obligor in an amount not exceeding the actual cost to | ||
the obligee for maintaining the [ |
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provided under Sections [ |
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(c) As additional child support, the court shall allocate | ||
between the parties, according to their circumstances: | ||
(1) the reasonable and necessary health care expenses, | ||
including vision and dental expenses, of the child that are not | ||
reimbursed by health or dental insurance or are not otherwise | ||
covered by the amount of cash medical support ordered under Section | ||
154.182 [ |
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(2) amounts paid by either party as deductibles or | ||
copayments in obtaining health care or dental care services for the | ||
child covered under a health insurance or dental insurance policy. | ||
SECTION 17. Subsections (a) and (b), Section 154.184, | ||
Family Code, are amended to read as follows: | ||
(a) Receipt of a medical support order requiring that health | ||
insurance be provided for a child or a dental support order | ||
requiring that dental insurance be provided for a child shall be | ||
considered a change in the family circumstances of the employee or | ||
member, for health insurance purposes and dental insurance | ||
purposes, equivalent to the birth or adoption of a child. | ||
(b) If the employee or member is eligible for dependent | ||
health coverage or dependent dental coverage, the employer shall | ||
automatically enroll the child for the first 31 days after the | ||
receipt of the order or notice of the medical support order or the | ||
dental support order under Section 154.186 on the same terms and | ||
conditions as apply to any other dependent child. | ||
SECTION 18. Section 154.185, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.185. PARENT TO FURNISH INFORMATION. (a) The | ||
court shall order a parent providing health insurance or dental | ||
insurance to furnish to either the obligee, obligor, or child | ||
support agency the following information not later than the 30th | ||
day after the date the notice of rendition of the order is received: | ||
(1) the social security number of the parent; | ||
(2) the name and address of the parent's employer; | ||
(3) with regard to health insurance: | ||
(A) whether the employer is self-insured or has | ||
health insurance available; | ||
(B) [ |
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provided for the child; | ||
(C) [ |
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available, the name of the health insurance carrier, the number of | ||
the policy, a copy of the policy and schedule of benefits, a health | ||
insurance membership card, claim forms, and any other information | ||
necessary to submit a claim; and | ||
(D) [ |
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of the schedule of benefits, a membership card, claim forms, and any | ||
other information necessary to submit a claim; and | ||
(4) with regard to dental insurance: | ||
(A) whether the employer is self-insured or has | ||
dental insurance available; | ||
(B) proof that dental insurance has been provided | ||
for the child; | ||
(C) if the employer has dental insurance | ||
available, the name of the dental insurance carrier, the number of | ||
the policy, a copy of the policy and schedule of benefits, a dental | ||
insurance membership card, claim forms, and any other information | ||
necessary to submit a claim; and | ||
(D) if the employer is self-insured, a copy of | ||
the schedule of benefits, a membership card, claim forms, and any | ||
other information necessary to submit a claim. | ||
(b) The court shall also order a parent providing health | ||
insurance or dental insurance to furnish the obligor, obligee, or | ||
child support agency with additional information regarding the | ||
health insurance coverage or dental insurance coverage not later | ||
than the 15th day after the date the information is received by the | ||
parent. | ||
SECTION 19. The heading to Section 154.186, Family Code, is | ||
amended to read as follows: | ||
Sec. 154.186. NOTICE TO EMPLOYER CONCERNING MEDICAL SUPPORT | ||
OR DENTAL SUPPORT. | ||
SECTION 20. Subsection (a), Section 154.186, Family Code, | ||
is amended to read as follows: | ||
(a) The obligee, obligor, or a child support agency of this | ||
state or another state may send to the employer a copy of the order | ||
requiring an employee to provide health insurance coverage or | ||
dental insurance coverage for a child or may include notice of the | ||
medical support order or dental support order in an order or writ of | ||
withholding sent to the employer in accordance with Chapter 158. | ||
SECTION 21. Subsections (a) through (e), and (g), Section | ||
154.187, Family Code, are amended to read as follows: | ||
(a) An order or notice under this subchapter to an employer | ||
directing that health insurance coverage or dental insurance | ||
coverage be provided to a child of an employee or member is binding | ||
on a current or subsequent employer on receipt without regard to the | ||
date the order was rendered. If the employee or member is eligible | ||
for dependent health coverage or dental coverage for the child, the | ||
employer shall immediately enroll the child in a health insurance | ||
plan or dental insurance plan regardless of whether the employee is | ||
enrolled in the plan. If dependent coverage is not available to the | ||
employee or member through the employer's health insurance plan or | ||
dental insurance plan or enrollment cannot be made permanent or if | ||
the employer is not responsible or otherwise liable for providing | ||
such coverage, the employer shall provide notice to the sender in | ||
accordance with Subsection (c). | ||
(b) If additional premiums are incurred as a result of | ||
adding the child to the health insurance plan or the dental | ||
insurance plan, the employer shall deduct the health insurance | ||
premium or the dental insurance premium from the earnings of the | ||
employee in accordance with Chapter 158 and apply the amount | ||
withheld to payment of the insurance premium. | ||
(c) An employer who has received an order or notice under | ||
this subchapter shall provide to the sender, by first class mail not | ||
later than the 30th day after the date the employer receives the | ||
order or notice, a statement that the child: | ||
(1) has been enrolled in the employer's health | ||
insurance plan or dental insurance plan, or is already enrolled in | ||
another health insurance plan or dental insurance plan in | ||
accordance with a previous child support, [ |
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dental support order to which the employee is subject; or | ||
(2) cannot be enrolled or cannot be enrolled | ||
permanently in the employer's health insurance plan or dental | ||
insurance plan and provide the reason why coverage or permanent | ||
coverage cannot be provided. | ||
(d) If the employee ceases employment or if the health | ||
insurance coverage or dental insurance coverage lapses, the | ||
employer shall provide to the sender, by first class mail not later | ||
than the 15th day after the date of the termination of employment or | ||
the lapse of the coverage, notice of the termination or lapse and of | ||
the availability of any conversion privileges. | ||
(e) On request, the employer shall release to the sender | ||
information concerning the available health insurance coverage or | ||
dental insurance coverage, including the name of the health | ||
insurance carrier or dental insurance carrier, the policy number, a | ||
copy of the policy and schedule of benefits, a health insurance or | ||
dental insurance membership card, and claim forms. | ||
(g) An employer who fails to enroll a child, fails to | ||
withhold or remit premiums or cash medical support, or | ||
discriminates in hiring or employment on the basis of a medical | ||
support order or notice or a dental support order or notice under | ||
this subchapter shall be subject to the penalties and fines in | ||
Subchapter C, Chapter 158. | ||
SECTION 22. Section 154.188, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.188. FAILURE TO PROVIDE OR PAY FOR REQUIRED HEALTH | ||
INSURANCE OR DENTAL INSURANCE. A parent ordered to provide health | ||
insurance or dental insurance or to pay the other parent additional | ||
child support for the cost of health insurance or dental insurance | ||
who fails to do so is liable for: | ||
(1) necessary medical expenses or dental expenses of | ||
the child, without regard to whether the expenses would have been | ||
paid if health insurance or dental insurance had been provided; and | ||
(2) the cost of health insurance premiums, dental | ||
insurance premiums, or contributions, if any, paid on behalf of the | ||
child. | ||
SECTION 23. Section 154.189, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.189. NOTICE OF TERMINATION OR LAPSE OF INSURANCE | ||
COVERAGE. (a) An obligor ordered to provide health insurance | ||
coverage or dental insurance coverage for a child must notify the | ||
obligee and any child support agency enforcing a support obligation | ||
against the obligor of the: | ||
(1) termination or lapse of health insurance coverage | ||
or dental insurance coverage for the child not later than the 15th | ||
day after the date of a termination or lapse; and | ||
(2) availability of additional health insurance or | ||
dental insurance to the obligor for the child after a termination or | ||
lapse of coverage not later than the 15th day after the date the | ||
insurance becomes available. | ||
(b) If termination of coverage results from a change of | ||
employers, the obligor, the obligee, or the child support agency | ||
may send the new employer a copy of the order requiring the employee | ||
to provide health insurance or dental insurance for a child or | ||
notice of the medical support order or the dental support order as | ||
provided by this subchapter. | ||
SECTION 24. Section 154.190, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.190. REENROLLING CHILD FOR INSURANCE COVERAGE. | ||
After health insurance or dental insurance has been terminated or | ||
has lapsed, an obligor ordered to provide health insurance coverage | ||
or dental insurance coverage for the child must enroll the child in | ||
a health insurance plan or a dental insurance plan at the next | ||
available enrollment period. | ||
SECTION 25. Section 154.191, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.191. REMEDY NOT EXCLUSIVE. (a) This subchapter | ||
does not limit the rights of the obligor, obligee, local domestic | ||
relations office, or Title IV-D agency to enforce, modify, or | ||
clarify the medical support order or dental support order. | ||
(b) This subchapter does not limit the authority of the | ||
court to render or modify a medical support order or dental support | ||
order to provide for payment of uninsured health expenses, health | ||
care costs, [ |
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expenses, dental costs, or dental insurance premiums in a manner | ||
consistent with this subchapter. | ||
SECTION 26. Section 154.192, Family Code, is amended to | ||
read as follows: | ||
Sec. 154.192. CANCELLATION OR ELIMINATION OF INSURANCE | ||
COVERAGE FOR CHILD. [ |
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be eligible for dependent coverage, or the employer has eliminated | ||
dependent health coverage or dental coverage for all of the | ||
employer's employees or members, the employer may not cancel or | ||
eliminate coverage of a child enrolled under this subchapter until | ||
the employer is provided satisfactory written evidence that: | ||
(1) the court order or administrative order requiring | ||
the coverage is no longer in effect; or | ||
(2) the child is enrolled in comparable [ |
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insurance coverage or will be enrolled in comparable coverage that | ||
will take effect not later than the effective date of the | ||
cancellation or elimination of the employer's coverage. | ||
SECTION 27. The heading to Section 154.193, Family Code, is | ||
amended to read as follows: | ||
Sec. 154.193. MEDICAL SUPPORT ORDER OR DENTAL SUPPORT ORDER | ||
NOT QUALIFIED. | ||
SECTION 28. Subsection (a), Section 154.193, Family Code, | ||
is amended to read as follows: | ||
(a) If a plan administrator or other person acting in an | ||
equivalent position determines that a medical support order or | ||
dental support order issued under this subchapter does not qualify | ||
for enforcement under federal law, the tribunal may, on its own | ||
motion or the motion of a party, render an order that qualifies for | ||
enforcement under federal law. | ||
SECTION 29. Subsection (a), Section 156.401, Family Code, | ||
is amended to read as follows: | ||
(a) Except as provided by Subsection (a-1) or (b), the court | ||
may modify an order that provides for the support of a child, | ||
including an order for health care coverage under Section 154.182 | ||
or an order for dental care coverage under Section 154.1825, if: | ||
(1) the circumstances of the child or a person | ||
affected by the order have materially and substantially changed | ||
since the earlier of: | ||
(A) the date of the order's rendition; or | ||
(B) the date of the signing of a mediated or | ||
collaborative law settlement agreement on which the order is based; | ||
or | ||
(2) it has been three years since the order was | ||
rendered or last modified and the monthly amount of the child | ||
support award under the order differs by either 20 percent or $100 | ||
from the amount that would be awarded in accordance with the child | ||
support guidelines. | ||
SECTION 30. Section 157.269, Family Code, is amended to | ||
read as follows: | ||
Sec. 157.269. RETENTION OF JURISDICTION. A court that | ||
renders an order providing for the payment of child support retains | ||
continuing jurisdiction to enforce the order, including by | ||
adjusting the amount of the periodic payments to be made by the | ||
obligor or the amount to be withheld from the obligor's disposable | ||
earnings, until all current support, [ |
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support, and child support arrearages, including interest and any | ||
applicable fees and costs, have been paid. | ||
SECTION 31. Subsections (a) and (b), Section 158.206, | ||
Family Code, are amended to read as follows: | ||
(a) An employer receiving an order or a writ of withholding | ||
under this chapter, including an order or writ directing that | ||
health insurance or dental insurance be provided to a child, who | ||
complies with the order or writ is not liable to the obligor for the | ||
amount of income withheld and paid as required by the order or writ. | ||
(b) An employer receiving an order or writ of withholding | ||
who does not comply with the order or writ is liable: | ||
(1) to the obligee for the amount not paid in | ||
compliance with the order or writ, including the amount the obligor | ||
is required to pay for health insurance or dental insurance under | ||
Chapter 154; | ||
(2) to the obligor for: | ||
(A) the amount withheld and not paid as required | ||
by the order or writ; and | ||
(B) an amount equal to the interest that accrues | ||
under Section 157.265 on the amount withheld and not paid; and | ||
(3) for reasonable attorney's fees and court costs. | ||
SECTION 32. Section 158.302, Family Code, is amended to | ||
read as follows: | ||
Sec. 158.302. CONTENTS OF NOTICE OF APPLICATION FOR | ||
JUDICIAL WRIT OF WITHHOLDING. The notice of application for | ||
judicial writ of withholding shall be verified and: | ||
(1) state the amount of monthly support due, including | ||
medical support and dental support, the amount of arrearages or | ||
anticipated arrearages, including accrued interest, and the amount | ||
of wages that will be withheld in accordance with a judicial writ of | ||
withholding; | ||
(2) state that the withholding applies to each current | ||
or subsequent employer or period of employment; | ||
(3) state that if the obligor does not contest the | ||
withholding within 10 days after the date of receipt of the notice, | ||
the obligor's employer will be notified to begin the withholding; | ||
(4) describe the procedures for contesting the | ||
issuance and delivery of a writ of withholding; | ||
(5) state that if the obligor contests the | ||
withholding, the obligor will be afforded an opportunity for a | ||
hearing by the court not later than the 30th day after the date of | ||
receipt of the notice of contest; | ||
(6) state that the sole ground for successfully | ||
contesting the issuance of a writ of withholding is a dispute | ||
concerning the identity of the obligor or the existence or amount of | ||
the arrearages, including accrued interest; | ||
(7) describe the actions that may be taken if the | ||
obligor contests the notice of application for judicial writ of | ||
withholding, including the procedures for suspending issuance of a | ||
writ of withholding; and | ||
(8) include with the notice a suggested form for the | ||
motion to stay issuance and delivery of the judicial writ of | ||
withholding that the obligor may file with the clerk of the | ||
appropriate court. | ||
SECTION 33. Subsection (c), Section 158.309, Family Code, | ||
is amended to read as follows: | ||
(c) Upon hearing, the court shall: | ||
(1) render an order for income withholding that | ||
includes a determination of the amount of child support arrearages, | ||
including medical support, dental support, and interest; or | ||
(2) grant the motion to stay. | ||
SECTION 34. Subsection (a), Section 158.312, Family Code, | ||
is amended to read as follows: | ||
(a) If a notice of application for judicial writ of | ||
withholding is delivered and a motion to stay is not filed within | ||
the time limits provided by Section 158.307, the party who filed the | ||
notice shall file with the clerk of the court a request for issuance | ||
of the writ of withholding stating the amount of current support, | ||
including medical support and dental support, the amount of | ||
arrearages, and the amount to be withheld from the obligor's | ||
income. | ||
SECTION 35. Section 158.314, Family Code, is amended to | ||
read as follows: | ||
Sec. 158.314. CONTENTS OF WRIT OF WITHHOLDING. The | ||
judicial writ of income withholding issued by the clerk must direct | ||
that the employer or a subsequent employer withhold from the | ||
obligor's disposable income for current child support, including | ||
medical support and dental support, and child support arrearages an | ||
amount that is consistent with the provisions of this chapter | ||
regarding orders of withholding. | ||
SECTION 36. Subsection (a), Section 158.502, Family Code, | ||
is amended to read as follows: | ||
(a) An administrative writ of withholding under this | ||
subchapter may be issued by the Title IV-D agency at any time until | ||
all current support, including medical support and dental support, | ||
[ |
||
authorized under Section 231.103 for which the obligor is | ||
responsible[ |
||
subsection may be based on an obligation in more than one support | ||
order. | ||
SECTION 37. Subsection (b), Section 158.504, Family Code, | ||
is amended to read as follows: | ||
(b) An administrative writ of withholding issued under this | ||
subchapter may contain only the information that is necessary for | ||
the employer to withhold income for child support, [ |
||
support, and dental support and shall specify the place where the | ||
withheld income is to be paid. | ||
SECTION 38. Section 158.507, Family Code, is amended to | ||
read as follows: | ||
Sec. 158.507. ADMINISTRATIVE WRIT TERMINATING WITHHOLDING. | ||
An administrative writ to terminate withholding may be issued and | ||
delivered to an employer by the Title IV-D agency when all current | ||
support, including medical support and dental support, [ |
||
support arrearages, and Title IV-D service fees authorized under | ||
Section 231.103 for which the obligor is responsible[ |
||
paid. | ||
SECTION 39. Subsection (c), Section 159.502, Family Code, | ||
is amended to read as follows: | ||
(c) Except as otherwise provided in Subsection (d) and | ||
Section 159.503, the employer shall withhold and distribute the | ||
funds as directed in the withholding order by complying with terms | ||
of the order that specify: | ||
(1) the duration and amount of periodic payments of | ||
current child support, stated as a sum certain; | ||
(2) the person designated to receive payments and the | ||
address to which the payments are to be forwarded; | ||
(3) medical support and dental support, whether in the | ||
form of periodic cash payments, stated as a sum certain, or ordering | ||
the obligor to provide health insurance coverage or dental | ||
insurance coverage for the child under a policy available through | ||
the obligor's employment; | ||
(4) the amount of periodic payments of fees and costs | ||
for a support enforcement agency, the issuing tribunal, and the | ||
obligee's attorney, stated as sums certain; and | ||
(5) the amount of periodic payments of arrearages and | ||
interest on arrearages, stated as sums certain. | ||
SECTION 40. The heading to Section 231.0011, Family Code, | ||
is amended to read as follows: | ||
Sec. 231.0011. DEVELOPMENT OF STATEWIDE INTEGRATED SYSTEM | ||
FOR CHILD SUPPORT, [ |
||
ENFORCEMENT. | ||
SECTION 41. Subsections (a) and (g), Section 231.0011, | ||
Family Code, are amended to read as follows: | ||
(a) The Title IV-D agency shall have final approval | ||
authority on any contract or proposal for delivery of Title IV-D | ||
services under this section and in coordination with the Texas | ||
Judicial Council, the Office of Court Administration of the Texas | ||
Judicial System, the federal Office of Child Support Enforcement, | ||
and state, county, and local officials, shall develop and implement | ||
a statewide integrated system for child support, [ |
||
support, and dental support enforcement, employing federal, state, | ||
local, and private resources to: | ||
(1) unify child support registry functions; | ||
(2) record and track all child support orders entered | ||
in the state; | ||
(3) establish an automated enforcement process which | ||
will use delinquency monitoring, billing, and other enforcement | ||
techniques to ensure the payment of current support; | ||
(4) incorporate existing enforcement resources into | ||
the system to obtain maximum benefit from state and federal | ||
funding; and | ||
(5) ensure accountability for all participants in the | ||
process, including state, county, and local officials, private | ||
contractors, and the judiciary. | ||
(g) Participation in the statewide integrated system for | ||
child support, [ |
||
enforcement by a county is voluntary, and nothing in this section | ||
shall be construed to mandate participation. | ||
SECTION 42. Subsection (e), Section 231.002, Family Code, | ||
is amended to read as follows: | ||
(e) The Title IV-D agency may take the following | ||
administrative actions with respect to the location of a parent, | ||
the determination of parentage, and the establishment, | ||
modification, and enforcement of child support, [ |
||
support, and dental support orders required by 42 U.S.C. Section | ||
666(c), without obtaining an order from any other judicial or | ||
administrative tribunal: | ||
(1) issue an administrative subpoena, as provided by | ||
Section 231.303, to obtain financial or other information; | ||
(2) order genetic testing for parentage | ||
determination, as provided by Chapter 233; | ||
(3) order income withholding, as provided by Chapter | ||
233, and issue an administrative writ of withholding, as provided | ||
by Chapter 158; and | ||
(4) take any action with respect to execution, | ||
collection, and release of a judgment or lien for child support | ||
necessary to satisfy the judgment or lien, as provided by Chapter | ||
157. | ||
SECTION 43. Subsection (a), Section 231.101, Family Code, | ||
is amended to read as follows: | ||
(a) The Title IV-D agency may provide all services required | ||
or authorized to be provided by Part D of Title IV of the federal | ||
Social Security Act (42 U.S.C. Section 651 et seq.), including: | ||
(1) parent locator services; | ||
(2) paternity determination; | ||
(3) child support, [ |
||
support establishment; | ||
(4) review and adjustment of child support orders; | ||
(5) enforcement of child support, [ |
||
support, and dental support orders; and | ||
(6) collection and distribution of child support | ||
payments. | ||
SECTION 44. Subsection (b), Section 231.104, Family Code, | ||
is amended to read as follows: | ||
(b) An application for child support services is an | ||
assignment of support rights to enable the Title IV-D agency to | ||
establish and enforce child support, [ |
||
dental support obligations, but an assignment is not a condition of | ||
eligibility for services. | ||
SECTION 45. Subsection (a), Section 231.123, Family Code, | ||
is amended to read as follows: | ||
(a) In order to maximize the amount of any tax refund to | ||
which an obligor may be entitled and which may be applied to child | ||
support, [ |
||
Title IV-D agency shall cooperate with volunteer income tax | ||
assistance programs in the state in informing obligors of the | ||
availability of the programs. | ||
SECTION 46. Subsection (a), Section 231.301, Family Code, | ||
is amended to read as follows: | ||
(a) The parent locator service conducted by the Title IV-D | ||
agency shall be used to obtain information for: | ||
(1) child support establishment and enforcement | ||
purposes regarding the identity, social security number, location, | ||
employer and employment benefits, income, and assets or debts of | ||
any individual under an obligation to pay child support, [ |
||
medical support, or dental support or to whom a support obligation | ||
is owed; or | ||
(2) the establishment of paternity. | ||
SECTION 47. Section 231.306, Family Code, is amended to | ||
read as follows: | ||
Sec. 231.306. MAXIMIZING MEDICAL SUPPORT AND DENTAL SUPPORT | ||
ESTABLISHMENT AND COLLECTION BY THE TITLE IV-D AGENCY. (a) On the | ||
installation of an automated child support enforcement system, the | ||
Title IV-D agency is strongly encouraged to: | ||
(1) maximize the collection of medical support and | ||
dental support; and | ||
(2) establish cash medical support orders for children | ||
eligible for medical assistance under the state Medicaid program | ||
for whom private insurance coverage is not available. | ||
(b) In this section: | ||
(1) "Medical[ |
||
assigned by Section 101.020. | ||
(2) "Dental support" has the meaning assigned by | ||
Section 101.0095. | ||
SECTION 48. Subsection (a), Section 233.001, Family Code, | ||
is amended to read as follows: | ||
(a) The purpose of the procedures specified in the child | ||
support review process authorized by this chapter is to enable the | ||
Title IV-D agency to take expedited administrative actions to | ||
establish, modify, and enforce child support, [ |
||
support, and dental support obligations, to determine parentage, or | ||
to take any other action authorized or required under Part D, Title | ||
IV, of the federal Social Security Act (42 U.S.C. Section 651 et | ||
seq.), and Chapter 231. | ||
SECTION 49. Subsection (b), Section 233.009, Family Code, | ||
is amended to read as follows: | ||
(b) The notice of proposed child support review order shall | ||
state: | ||
(1) the amount of periodic payment of child support | ||
due, the amount of any overdue support that is owed as an arrearage | ||
as of the date of the notice, and the amounts that are to be paid by | ||
the obligor for current support due and in payment on the arrearage | ||
owed; | ||
(2) that the person identified in the notice as the | ||
party responsible for payment of the support amounts may contest | ||
the notice order on the grounds that: | ||
(A) the respondent is not the responsible party; | ||
(B) the dependent child is no longer entitled to | ||
child support; or | ||
(C) the amount of monthly support or arrearage is | ||
incorrectly stated; and | ||
(3) that, if the person identified in the notice as the | ||
party responsible for payment of the support amounts does not | ||
contest the notice in writing or request a negotiation conference | ||
to discuss the notice not later than the 15th day after the date the | ||
notice was delivered, the Title IV-D agency may file a child support | ||
review order for child support, [ |
||
dental support for the child as provided by Chapter 154 according to | ||
the information available to the agency. | ||
SECTION 50. Subsection (b), Section 233.0095, Family Code, | ||
is amended to read as follows: | ||
(b) The notice of proposed child support review order shall | ||
state: | ||
(1) the amount of periodic payment of child support | ||
due; | ||
(2) that the person identified in the notice as the | ||
party responsible for payment of the support amounts may only | ||
contest the amount of monthly support; and | ||
(3) that, if the person identified in the notice as the | ||
party responsible for payment of the support amounts does not | ||
contest the notice in writing or request a negotiation conference | ||
to discuss the notice not later than the 15th day after the date the | ||
notice was delivered, the Title IV-D agency may file the child | ||
support order for child support, [ |
||
dental support for the child as provided by Chapter 154 according to | ||
the information available to the agency. | ||
SECTION 51. Subsection (a), Section 233.017, Family Code, | ||
is amended to read as follows: | ||
(a) An order issued under this chapter must be reviewed and | ||
signed by an attorney of the Title IV-D agency and must contain all | ||
provisions that are appropriate for an order under this title, | ||
including current child support, medical support, dental support, a | ||
determination of any arrearages or retroactive support, and, if not | ||
otherwise ordered, income withholding. | ||
SECTION 52. Section 234.002, Family Code, is amended to | ||
read as follows: | ||
Sec. 234.002. INTEGRATED SYSTEM FOR CHILD SUPPORT, [ |
||
MEDICAL SUPPORT, AND DENTAL SUPPORT ENFORCEMENT. The statewide | ||
integrated system for child support, [ |
||
dental support enforcement under Chapter 231 shall be part of the | ||
state case registry and state disbursement unit authorized by this | ||
subchapter. | ||
SECTION 53. Subsection (a), Section 71.035, Government | ||
Code, is amended to read as follows: | ||
(a) The council shall gather judicial statistics and other | ||
pertinent information from the several state judges and other court | ||
officials of this state. In addition, the council shall implement a | ||
monthly tracking system to ensure accountability for counties and | ||
courts which participate in the statewide integrated system for | ||
child support, [ |
||
enforcement established under Section 231.0011, Family Code. As a | ||
duty of office, the district clerks and county clerks serving the | ||
affected courts shall report monthly such information as may be | ||
required by the council, including, at a minimum, the time required | ||
to enforce cases from date of delinquency, from date of filing, and | ||
from date of service until date of disposition. Such information as | ||
is necessary to complete the report and not directly within the | ||
control of the district or county clerk, such as date of | ||
delinquency, shall be provided to the clerk by the child support | ||
registry or by the enforcement agency providing Title IV-D | ||
enforcement services in the court. The monthly report shall be | ||
transmitted to the Office of Court Administration of the Texas | ||
Judicial System no later than the 20th day of the month following | ||
the month reported, in such form as may be prescribed by the Office | ||
of Court Administration, which may include electronic data | ||
transfer. Copies of such reports shall be maintained in the office | ||
of the appropriate district or county clerk for a period of at least | ||
two years and shall be available to the public for inspection and | ||
reproduction. | ||
SECTION 54. Subsection (b), Section 1201.053, Insurance | ||
Code, is amended to read as follows: | ||
(b) On the application of an adult member of a family, an | ||
individual accident and health insurance policy may, at the time of | ||
original issuance or by subsequent amendment, insure two or more | ||
eligible members of the adult's family, including a spouse, | ||
unmarried children younger than 25 years of age, including a | ||
grandchild of the adult as described by Section 1201.062(a)(1), a | ||
child the adult is required to insure under a medical support order | ||
or dental support order, if the policy provides dental coverage, | ||
issued under Chapter 154, Family Code, or enforceable by a court in | ||
this state, and any other individual dependent on the adult. | ||
SECTION 55. Subsection (a), Section 1201.062, Insurance | ||
Code, is amended to read as follows: | ||
(a) An individual or group accident and health insurance | ||
policy that is delivered, issued for delivery, or renewed in this | ||
state, including a policy issued by a corporation operating under | ||
Chapter 842, or a self-funded or self-insured welfare or benefit | ||
plan or program, to the extent that regulation of the plan or | ||
program is not preempted by federal law, that provides coverage for | ||
a child of an insured or group member, on payment of a premium, must | ||
provide coverage for: | ||
(1) each grandchild of the insured or group member if | ||
the grandchild is: | ||
(A) unmarried; | ||
(B) younger than 25 years of age; and | ||
(C) a dependent of the insured or group member | ||
for federal income tax purposes at the time application for | ||
coverage of the grandchild is made; and | ||
(2) each child for whom the insured or group member | ||
must provide medical support or dental support, if the policy | ||
provides dental coverage, under an order issued under Chapter 154, | ||
Family Code, or enforceable by a court in this state. | ||
SECTION 56. Section 1201.063, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO | ||
CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY. Regarding a | ||
natural or adopted child of an insured or group member or a child | ||
for whom the insured or group member must provide medical support or | ||
dental support, if the policy provides dental coverage, under an | ||
order issued under Chapter 154, Family Code, or enforceable by a | ||
court in this state, an individual or group accident and health | ||
insurance policy that provides coverage for a child of an insured or | ||
group member may not set a different premium for the child, exclude | ||
the child from coverage, or discontinue coverage of the child | ||
because: | ||
(1) the child does not reside with the insured or group | ||
member; or | ||
(2) the insured or group member does not claim the | ||
child as an exemption for federal income tax purposes under Section | ||
151(c)(1)(B), Internal Revenue Code of 1986. | ||
SECTION 57. The heading to Chapter 1504, Insurance Code, is | ||
amended to read as follows: | ||
CHAPTER 1504. MEDICAL AND DENTAL CHILD SUPPORT | ||
SECTION 58. Subdivision (4), Section 1504.001, Insurance | ||
Code, is amended to read as follows: | ||
(4) "Benefit [ |
||
(A) an insurance company, group hospital service | ||
corporation, or health maintenance organization that delivers or | ||
issues for delivery an individual, group, blanket, or franchise | ||
insurance policy or agreement, a group hospital service contract, | ||
or an evidence of coverage that provides benefits for medical or | ||
surgical expenses incurred as a result of an accident or sickness, | ||
or dental expenses; | ||
(B) a governmental entity subject to Subchapter | ||
D, Chapter 1355, Subchapter C, Chapter 1364, Chapter 1578, Article | ||
3.51-1, 3.51-4, or 3.51-5, or Chapter 177, Local Government Code; | ||
(C) the issuer of a multiple employer welfare | ||
arrangement as defined by Section 846.001; or | ||
(D) the issuer of a group health plan as defined | ||
by Section 607, Employee Retirement Income Security Act of 1974 (29 | ||
U.S.C. Section 1167). | ||
SECTION 59. Subsection (b), Section 1504.002, Insurance | ||
Code, is amended to read as follows: | ||
(b) The commissioner shall adopt rules that define | ||
"comparable health or dental coverage" in a manner that: | ||
(1) is consistent with federal law; and | ||
(2) complies with the requirements necessary to | ||
maintain federal Medicaid funding. | ||
SECTION 60. Section 1504.003, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.003. VIOLATION OF CHAPTER: RELIEF AVAILABLE TO | ||
INJURED PERSON. A [ |
||
chapter is subject to the same penalties, and an injured person has | ||
the same rights and remedies, as those provided by Subchapter D, | ||
Chapter 541. | ||
SECTION 61. The heading to Subchapter B, Chapter 1504, | ||
Insurance Code, is amended to read as follows: | ||
SUBCHAPTER B. DUTIES OF [ |
||
SECTION 62. Section 1504.051, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.051. ENROLLMENT OF CERTAIN CHILDREN REQUIRED. | ||
(a) A [ |
||
a child in dependent health or dental coverage offered through the | ||
issuer regardless of any enrollment period restriction if the | ||
parent is: | ||
(1) eligible for dependent health or dental coverage; | ||
and | ||
(2) required by a court order or administrative order | ||
to provide health or dental insurance coverage for the child. | ||
(b) A [ |
||
parent described by Subsection (a) in dependent health or dental | ||
coverage offered through the issuer if: | ||
(1) the parent does not apply to obtain health or | ||
dental coverage for the child through the issuer; and | ||
(2) the child, a custodial parent of the child, or a | ||
child support agency having a duty to collect or enforce support for | ||
the child applies for the coverage. | ||
SECTION 63. Section 1504.052, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.052. CHILD RESIDING OUTSIDE SERVICE AREA; | ||
COMPARABLE HEALTH OR DENTAL COVERAGE REQUIRED. (a) A [ |
||
benefit plan issuer may not deny enrollment of a child under the | ||
health or dental coverage of the child's parent on the ground that | ||
the child does not reside in the issuer's service area. | ||
(b) A [ |
||
otherwise applicable provision of the health or dental coverage | ||
that would deny, limit, or reduce payment of a claim for a covered | ||
child who resides outside the issuer's service area but inside the | ||
United States. | ||
(c) For a covered child who resides outside the [ |
||
benefit plan issuer's service area and whose coverage under a | ||
policy or plan is required by a medical support order or dental | ||
support order, the issuer shall provide coverage that is comparable | ||
health or dental coverage to that provided to other dependents | ||
under the policy or plan. | ||
(d) Comparable health or dental coverage may include | ||
coverage in which a [ |
||
procedures for service delivery and health care provider | ||
reimbursement. Comparable health or dental coverage may not | ||
include coverage: | ||
(1) that is limited to emergency services only; or | ||
(2) for which the issuer charges a higher premium. | ||
SECTION 64. Section 1504.053, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.053. CANCELLATION OR NONRENEWAL OF COVERAGE FOR | ||
CERTAIN CHILDREN. (a) A [ |
||
cancel or refuse to renew health or dental coverage provided to a | ||
child who is enrolled or entitled to enrollment under this chapter | ||
unless satisfactory written evidence is filed with the issuer | ||
showing that: | ||
(1) the court or administrative order that required | ||
the coverage is not in effect; or | ||
(2) the child: | ||
(A) is enrolled in comparable health or dental | ||
coverage; or | ||
(B) will be enrolled in comparable health or | ||
dental coverage that takes effect not later than the effective date | ||
of the cancellation or nonrenewal. | ||
(b) For purposes of this section, a child is not enrolled or | ||
entitled to enrollment under this chapter if the child's | ||
eligibility for health or dental coverage ends because the parent | ||
ceases to be eligible for dependent health or dental coverage. | ||
SECTION 65. Section 1504.054, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.054. CONTINUATION OR CONVERSION OF COVERAGE. | ||
(a) If a child's eligibility for dependent health or dental | ||
coverage ends because the parent ceases to be eligible for the | ||
coverage and the coverage provides for the continuation or | ||
conversion of the coverage for the child, the [ |
||
issuer shall notify the custodial parent and the child support | ||
agency of the costs and other requirements for continuing or | ||
converting the coverage. | ||
(b) The [ |
||
of a parent of the child, a child support agency, or the child, | ||
enroll or continue enrollment of a child whose eligibility for | ||
coverage ended under Subsection (a). | ||
SECTION 66. Section 1504.055, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.055. PROCEDURE FOR CLAIMS. (a) A [ |
||
benefit plan issuer that provides health or dental coverage to a | ||
child through a covered parent of the child shall: | ||
(1) provide to each custodial parent of the child or to | ||
an adult child documents and other information necessary for the | ||
child to obtain benefits under the coverage, including: | ||
(A) the name of the issuer; | ||
(B) the number of the policy or evidence of | ||
coverage; | ||
(C) a copy of the policy or evidence of coverage | ||
and schedule of benefits; | ||
(D) a health or dental coverage membership card; | ||
(E) claim forms; and | ||
(F) any other document or information necessary | ||
to submit a claim in accordance with the issuer's policies and | ||
procedures; | ||
(2) permit a custodial parent, health care provider, | ||
state agency that has been assigned medical or dental support | ||
rights, or adult child to submit claims for covered services | ||
without the approval of the covered parent; and | ||
(3) make payments on covered claims submitted in | ||
accordance with this subsection directly to a custodial parent, | ||
health care or dental care provider, adult child, or state agency | ||
making a claim. | ||
(b) A [ |
||
agency that provides medical assistance, including medical | ||
assistance for dental services, to the child or shall provide to a | ||
child support agency that enforces medical or dental support on | ||
behalf of a child the information necessary to obtain reimbursement | ||
of medical or dental services provided to or paid on behalf of the | ||
child. | ||
SECTION 67. Section 1504.101, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.101. DENIAL OF ENROLLMENT ON CERTAIN GROUNDS | ||
PROHIBITED. A [ |
||
of a child under the health or dental coverage of the child's parent | ||
on the ground that the child: | ||
(1) has a preexisting condition; | ||
(2) was born out of wedlock; | ||
(3) is not claimed as a dependent on the parent's | ||
federal income tax return; | ||
(4) does not reside with the parent; or | ||
(5) receives or has applied for medical assistance. | ||
SECTION 68. Section 1504.102, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1504.102. ASSIGNMENT OF MEDICAL OR DENTAL SUPPORT | ||
RIGHTS: DIFFERENT REQUIREMENTS PROHIBITED. A [ |
||
plan issuer may not require a state agency that has been assigned | ||
the rights of an individual who is eligible for medical assistance | ||
and is covered for health or dental benefits from the issuer to | ||
comply with a requirement that is different from a requirement | ||
imposed on an agent or assignee of any other covered individual. | ||
SECTION 69. Section 402.085, Labor Code, is amended to read | ||
as follows: | ||
Sec. 402.085. EXCEPTIONS TO CONFIDENTIALITY. (a) The | ||
division shall release information on a claim to: | ||
(1) the Texas Department of Insurance for any | ||
statutory or regulatory purpose, including a research purpose under | ||
Chapter 405; | ||
(2) a legislative committee for legislative purposes; | ||
(3) a state or federal elected official requested in | ||
writing to provide assistance by a constituent who qualifies to | ||
obtain injury information under Section 402.084(b), if the request | ||
for assistance is provided to the division; | ||
(4) the attorney general or another entity that | ||
provides child support services under Part D, Title IV, Social | ||
Security Act (42 U.S.C. Section 651 et seq.), relating to: | ||
(A) establishing, modifying, or enforcing a | ||
child support, [ |
||
or | ||
(B) locating an absent parent; or | ||
(5) the office of injured employee counsel for any | ||
statutory or regulatory purpose that relates to a duty of that | ||
office. | ||
(b) The division may release information on a claim to a | ||
governmental agency, political subdivision, or regulatory body to | ||
use to: | ||
(1) investigate an allegation of a criminal offense or | ||
licensing or regulatory violation; | ||
(2) provide: | ||
(A) unemployment compensation benefits; | ||
(B) crime victims compensation benefits; | ||
(C) vocational rehabilitation services; or | ||
(D) health care benefits; | ||
(3) investigate occupational safety or health | ||
violations; | ||
(4) verify income on an application for benefits under | ||
an income-based state or federal assistance program; or | ||
(5) assess financial resources in an action, including | ||
an administrative action, to: | ||
(A) establish, modify, or enforce a child | ||
support, [ |
||
(B) establish paternity; | ||
(C) locate an absent parent; or | ||
(D) cooperate with another state in an action | ||
authorized under Part D, Title IV, Social Security Act (42 U.S.C. | ||
Section 651 et seq.), or Chapter 231, Family Code. | ||
SECTION 70. (a) The changes in law made by this Act apply | ||
to a suit affecting the parent-child relationship filed on or after | ||
the effective date of this Act. A suit affecting the parent-child | ||
relationship filed before the effective date of this Act is | ||
governed by the law in effect on the date the suit was filed, and the | ||
former law is continued in effect for that purpose. | ||
(b) The change in law made by this Act does not by itself | ||
constitute a material and substantial change of circumstances under | ||
Section 156.401, Family Code, sufficient to warrant modification of | ||
a court order or a portion of a decree that provides for the support | ||
of a child rendered before the effective date of this Act. | ||
SECTION 71. This Act takes effect September 1, 2011. |